Memorial Health System

NPI #1003134644 in Colorado Springs, Colorado

Provider Information

NPI Number
1003134644
Entity Type
Organization
Organization Name
Memorial Health System
Subpart
Yes (part of a larger organization)
Parent Organization
MEMORIAL HEALTH SYSTEM
Primary Specialty
Specialist
Enumeration Date
May 6, 2010
Last Updated
Jun 16, 2010

Practice Location

Address
4110 BRIARGATE PKWY
Address 2
SUITE 465
ZIP Code
80920-7835
Phone
(719) 365-9951

Authorized Official

Name
MARY JO YANTIS
Title
VICE PRESIDENT
Phone
(719) 365-9951

Specialties & Taxonomy Codes

Specialty
Specialist

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